Provider Demographics
NPI:1689653701
Name:FRANZEN, KEEVIN JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:KEEVIN
Middle Name:JOSEPH
Last Name:FRANZEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 DELHI ST
Mailing Address - Street 2:SUITE 3500
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-6321
Mailing Address - Country:US
Mailing Address - Phone:563-557-5911
Mailing Address - Fax:
Practice Address - Street 1:1500 DELHI ST
Practice Address - Street 2:SUITE 3500
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-6321
Practice Address - Country:US
Practice Address - Phone:563-557-5911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20655208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA10543OtherMIDLAND'S CHOICE
IA0180273Medicaid
IA34008OtherHAWK-I
IA11350OtherDEAN HEALTH PLAN
IA18027OtherWELLMARK BCBS OF IOWA
IAIA0111OtherJOHN DEERE HEALTH PLAN
IA10543OtherMIDLAND'S CHOICE